palliative care in patients with copd

... there are few reports suggesting a greater impairment in health related quality of life in female patients with COPD [6-10] Several studies completed mainly in men with COPD, have explored the physiological ... differences in any domain for Stage III and IV patients This is an interesting finding considering that female with FEV1%

Ngày tải lên: 20/06/2014, 16:20

... (CCRT) with palliative intent in gastrointestinal cancer [22,26-30] In this study, we evaluated the palliative role of RT and defined the effectiveness of chemotherapy combined with palliative RT in ... Twenty-one patients (26%) received CCRT with the following regimens: capecitabine in eight patients, fluorouracil in six patients, oral tegafur-uracil in five patients, and combination regimen in two patients ... a marginally significant factor (p = 0.0644) (Table 3) In patients with pain, higher BED and CCRT was associated with improved outcome with statistical significance In patients with bleeding,...

Ngày tải lên: 09/08/2014, 09:20

... utilization in COPD patients compared with non -COPD patients also determine elevated health care costs within the COPD patient group Even though our patients are from an extended age range with an ... managing care of COPD with concomitant cardiovascular disease should be one of the major foci for intervention in patients with COPD † Chi-square test The presence of mild liver disease increased ... (determined from chart review by one of the investigators - NM), 3) exacerbations of COPD and/or hospitalization/urgent care visits within the month prior to recruitment (in order to obtain both clinical...

Ngày tải lên: 12/08/2014, 13:22

... bronchial wall, staining for desmin; scale bar = 0.05 mm E: Staining for vimentin from a case in which no a-SMA or desmin positive spindle shaped cells were found Positive staining pattern in normal fibroblasts ... Tn-C is a glycoprotein associated with tissue remodeling In a study by Liesker et.al [15], an increase in TnC expression in the large airways was seen both in COPD and in asthma patients There was, ... Secondly, in our study, quantitatively more patients with a longer duration of smoking were investigated, and the COPD patients had a more severe airway obstruction Finally, in our study all COPD patients...

Ngày tải lên: 12/08/2014, 13:22

... static hyperinflation in COPD Methods We examined 167 consecutive outpatients with stable COPD The Baseline Dyspnea Index (BDI) was used to evaluate dyspnea with activities of daily living The relationship ... during daily activities measured using the Baseline Dyspnea Index (BDI) and airflow limitation or static hyperinflation in COPD Methods A total of 167 consecutive patients with stable COPD defined ... volume increase during exercise, dynamic hyperinflation results in restrictive mechanical constraints which, in the extreme, can lead to alveolar hypoventilation during exercise In patients with COPD, ...

Ngày tải lên: 12/08/2014, 14:20

... respectively in patients with COPD [6,9] Our findings confirm that both anxious and depressive symptoms are common in COPD and increase with disease severity The higher prevalence of anxious symptoms in ... depressive symptoms in patients with COPD classified according to quartiles of the BODE index Prevalence Prevalence of anxious and depressive symptoms in patients with COPD classified according to quartiles ... 10:1 shown in table The number of patients in stages I to IV of COPD severity as defined by GOLD and the median BODE index of the patients in each stage are shown in table The majority of patients...

Ngày tải lên: 12/08/2014, 14:20

... breathing against inspiratory loads compared to non -COPD patients [20] In line with these findings, recent data from a post mortem study in severe COPD patients reveal that acute-onchronic increase ... myosin heavy chains in the diaphragm from COPD patients compared to non -COPD patients, and similar findings were reported in a preliminary study from our lab [77] Finally, in an animal model of COPD, ... against the titin domain encoded by exon 156, and antibody T12, directed against a titin domain near the sarcomeric Z-line Double-staining with antibodies ×156 and T12 revealed increased staining...

Ngày tải lên: 12/08/2014, 15:21

... reply"no” (Table 2) Maintenance care in patients with monthly episodes of LBP but with different outcomes Information collected in this part of the questionnaire did not always agree with the expectations ... Cite this article as: Hansen et al.: The Nordic maintenance care program: what are the indications for maintenance care in patients with low back pain? A survey of the members of the Danish Chiropractors’ ... relating to the indications for the use of MC For example, within this definition, it was considered unsuitable to offer MC to patients with no previous history of back problems at all, whereas patients...

Ngày tải lên: 13/08/2014, 14:20

... deteriorated in patients with underweight COPD Respir Med 2005, 99:624-630 Hynninen KMJ, Pallesen P, Nordhus IH: Factors affecting health status in COPD patients with co-morbid anxiety and depression Int ... symptoms in primary care COPD patients Family Practice 2007, 24:217-223 Rejeski JW, Foley KO, Woodard M, Zaccaro DJ, Berry MJ: Evaluating and understanding performance testing in COPD patients ... 100, the lower scores indicating better health status [19-21] The SGRQ has been translated into different languages and used in several studies of COPD patients, including in Norway [22,23] The...

Ngày tải lên: 18/06/2014, 19:20

... restraints that without doubt are still present in patients with severe COPD at discharge from a hospitaltreated exacerbation However, our results are in line with other studies In a study on patients ... to those with missing SF6D, but disease severity did not differ between patients with available and missing scores In all instruments, missing items were more frequent in women than in men (11% ... full health in EQ-5D was observed in 9% of patients, of whom 92% reported health restraints in SF6D dimension vitality, 65% in mental health, 71% in physical functioning [22] And in a study on...

Ngày tải lên: 20/06/2014, 16:20

... obtained from the remaining samples after routine blood examination was performed according to DEM procedures Routine tests undertaken include full blood examination, electrolyte examination and ECG ... correlation test a Dose administered in the preceding 24 h, including dose administered prior to the hospital presentation b Dose administered by health -care officer, as recorded in hospital medical ... assays when measuring albuterol in a clinical setting Recent reviews have raised concerns about the safety of using large doses of b2-agonists, especially in patients with underlying cardiovascular...

Ngày tải lên: 21/06/2014, 03:20

... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... complaints and suggestions to ascertain general learning points which are shared with the team); Med (A medication review is recorded in the notes in the preceding 15 months for all patients being ... primary care team within each practice We will collect information about the organisation and team functioning of the primary care team from both clinical and non-clinical team members and information...

Ngày tải lên: 11/08/2014, 05:21

... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... complaints and suggestions to ascertain general learning points which are shared with the team); Med (A medication review is recorded in the notes in the preceding 15 months for all patients being ... primary care team within each practice We will collect information about the organisation and team functioning of the primary care team from both clinical and non-clinical team members and information...

Ngày tải lên: 11/08/2014, 16:20

... definition of SMI [19,20] The intention is to include in the CNCM all patients from 'integrated care' departments that are treating patients with severe and long-lasting psychiatric illnesses Thus, ... baseline Years in care since baseline was an independent variable in most of the analyses (see below) It was calculated by subtracting the baseline date (in days) from the assessment date (in days) ... since the baseline in 2004 and GAF impairment did not differ between the regions (regression coefficient of interaction term = 2.96, p = 0.22) Inpatients, patients in sheltered housing and patients...

Ngày tải lên: 11/08/2014, 16:22

... status at baseline) included three categories: subjects were in care at this date; had never been in care (new patients) or were not in care in the 365 days before this date, but had care before ... that care consumption would change after that date in the CNCM region but not in the control region In particular, we expected an increase in outpatient care and a decrease in inpatient care ... trained to administer CNCM forms aimed to provide clinical case information for use in treatment in negotiation with the patient Thus, the CNCM monitors treatment in the course of routine care...

Ngày tải lên: 11/08/2014, 16:23

... among patients with incurable, progressive disease receiving palliative care in South Africa and Uganda in order to inform clinical care Secondary aims were to compare QOL in patients with cancer ... regarding the importance of interpersonal and spiritual domains in incurable progressive disease [35,61,69-71] Our findings also suggest that patients with HIV receiving palliative care in South ... have poorer QOL than patients in this sample As our findings relate to patients receiving palliative care, it is worth noting that other people with life-limiting illness in sub-Saharan Africa...

Ngày tải lên: 12/08/2014, 01:22

... factor; IP-10: interferon-inducible protein 10; KGF: keratinocyte growth factor Competing interests SDA has no competing interests KLV has no competing interests TR has no competing interests CZ, ... The second objective was to describe the intra- and interpatient variability in inflammatory proteins in induced sputum and serum in patients with stable COPD compared to controls Methods Study ... significantly higher in patients with COPD compared to controls Smoking did not exert a confounding effect; these four serum proteins were elevated in both smokers and non-smokers with COPD compared...

Ngày tải lên: 12/08/2014, 11:21

... change in mPAP during exercise with breathing of oxygen in patients with bronchitis-type of COPD Figure with bronchitis-type of COPD patients change in PVR during exercise with breathing of oxygen ... VEGF level in induced sputum and in Correlation between VEGF level in induced sputum and change in PVR during exercise with breathing of oxygen in patients with bronchitis-type of COPD subjects ... of small pulmonary vessels by intimal thickening in patients with mild to moderate COPD and medial thickening in severe cases [4] Thus, since patients with mild COPD are not usually hypoxemic,...

Ngày tải lên: 12/08/2014, 15:20

... of withdrawal of long-term inhaled corticosteroids in patients with COPD recruited in primary care Risk of COPD exacerbation was increased in patients withdrawn from ICS, significantly so in ... examined the effects of withdrawing ICS in people with COPD recruited in primary care We tested the hypothesis that withdrawal of ICS in this population would lead to an increased number of COPD ... of patients with obstructive lung disease [14] Eighty-five percent of patients with COPD in the UK and the Netherlands are managed exclusively in primary care, a figure increasing with the rising...

Ngày tải lên: 12/08/2014, 15:21

... possible to point up lower values in patients with chronic obstructive pulmonary disease (COPD) [10-12] The factors contributing to respiratory muscle weakness in many patients with COPD are: a) ... functional parameters at different stages of COPD Methods During year 110 patients suffering from COPD were enrolled in this study All patients were in a clinically stable condition and the mean age ... pressures in patients with COPD In fact, both MIP and MEP values were lower in patients with severe obstruction compared with healthy subjects MIP decreased also in patient with mild and moderate...

Ngày tải lên: 12/08/2014, 15:21